Organization
CHARLESTON INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY THOMAS BOWDEN III DO (PRESIDENT AND OWNER)
(304) 720-2345
Entity
Organization
Contact information
Practice address
3701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1525
(304) 720-2345
(304) 720-2347
Mailing address
3701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1525
(304) 720-2345
(304) 720-2347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004289
—
WV
Enumeration date
10/09/2006
Last updated
10/04/2022
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